子宫骶骨韧带高位悬吊术治疗子宫脱垂的临床研究
详细信息-
摘要: 子宫脱垂是中老妇女的常见病、多发病,严重危害中老妇女的身体健康及生活质量.子宫脱垂的原因就是宫骶韧带和主韧带复合体完整性的缺失和盆隔的虚弱而导致子宫的位置下移,单纯子宫切除术对盆底修复改善已证实无任何意义[1-2].目前,治疗子宫脱垂的手术方法很多,其中子宫骶骨韧带悬吊术,近年来得到大多数患者的接受,其优点是能保持盆底支持结构的完整性及保留患者的子宫[3].作者自2006年2月开始,采用经腹或腹腔镜子宫骶骨韧带高位悬吊术治疗子宫脱垂患者共27例,效果满意,现报告如下.
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Nichols D H. Gynecologic and obstetric surgery [M]. StLouis:Mosby, 1993.431. Marana H R, Andrade J M, Marana R R. Vaginal hysterectomy for correcting genital prolapse [J]. Journal of Reproductive Medicine, 1999(6):529. 梁志清, 徐惠成, 陈勇. 腹腔镜下子宫骶骨韧带缩短固定术治疗子宫脱垂 [J]. 中华妇产科杂志, 2004, (10):666.doi: 10.3760/j.issn:0529-567X.2004.10.006. 郭应禄, 杨勇. 尿失禁 [M]. 济南:山东科学技术出版社, 2003.160. 丰有吉, 沈铿. 妇产科学 [M]. 北京:人民卫生出版社, 2005.377. 郎景和. 子宫颈Sturmdorf缝合法 [A]. 北京:中国科学技术出版社, 2001.48. DeLancy J O L. The anatomy of the pelvic floor [J]. Current Opinion in Obstetrics and Gynecology, 1994(4):313. Williams B F P. Surgical treatment in uterine prolapse in young women [J]. American Journal of Obstetrics and Gynecology, 1996(7):967. Kovac S R, Cruikshank S H. Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients [J]. American Journal of Obstetrics and Gynecology, 1993, (6Pt1):1778. Shull B L, Bachofen C, Coates K W. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolpse with uterosacral ligamments [J]. American Journal of Obstetrics and Gynecology, 2000.1365.doi: 10.1067/mob.2000.110910. Gabrel B, Denschlag D, Gobel H. Uterosacral ligament in postmenopausal women with or without pelvic organ prolapse [J]. International Urogynecology Journal and Pelvic Floor Dysfunction, 2005, (6):475.doi: 10.1007/s00192-005-1294-5. Silva W A, Pauls R N, Segal J L. Uterosacral ligament vault suspension:five-year outcomes [J]. Obstetrics and Gynecology, 2006.255.
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